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65536 Federal Register / Vol. 74, No. 236 / Thursday, December 10, 2009 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Decision to Evaluate a Petition to 

Designate a Class of Employees of 

Area IV of the Santa Susana Field 

Laboratory, To Be Included in the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Department of Health and 

Human Services (HHS). 

ACTION: Notice. 

SUMMARY: HHS gives notice as required 

by 42 CFR 83.12(e) of a decision to 

evaluate a petition to designate a class 

of employees of Area IV of the Santa 

Susana Field Laboratory to be included 

in the Special Exposure Cohort under 

the Energy Employees Occupational 

Illness Compensation Program Act of 

2000. The initial proposed definition for 

the class being evaluated, subject to 

revision as warranted by the evaluation, 

is as follows: 

Facility: Santa Susana Field 

Laboratory. 

Location: Area IV. 

Job Titles and/or Job Duties: All 

employees of the Department of Energy, 

its predecessor agencies, and their 

contractors and subcontractors who 

worked in any area. 

Period of Employment: January 1, 

1959 to December 31, 1964. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Interim Director, 

Office of Compensation Analysis and 

Support, National Institute for 

Occupational Safety and Health 

(NIOSH), 4676 Columbia Parkway, MS 

C–46, Cincinnati, OH 45226, Telephone 

513–533–6800 (this is not a toll-free 

number). Information requests can also 

be submitted by e-mail to 

OCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. E9–29381 Filed 12–9–09; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–10–09AD] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an 

e-mail to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Evaluation of the Field Triage 

Decision Scheme: The National Trauma 

Triage Protocol—New—Division of 

Injury Response (DIR), National Center 

for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The ‘‘Field Triage Decision Scheme: 

The National Trauma Triage Protocol’’ 

educational initiative was developed to 

help emergency medical services (EMS) 

professionals (administrators, medical 

directors, trauma system leadership, and 

providers) learn about and implement 

the revised Field Triage Decision 

Scheme. The Decision Scheme is 

intended to be the foundation for the 

development of local and regional field 

triage protocols. 

In the United States, injury is the 

leading cause of death for persons aged 

1–44 years. EMS professionals have a 

substantial impact on care of the injured 

and on public health. At an injury 

scene, EMS professionals determine the 

severity of injury, initiate medical 

management, and identify the most 

appropriate facility to which the patient 

should be transported. This destination 

decision is made through a process 

called field triage. Certain hospitals 

have additional expertise, resources, 

and equipment to treat severely injured 

patients. These facilities are known as 

trauma centers and are classified from 

Level I to Level IV. The risk for death 

of a severely injured person is 25% 

lower if the patient receives care at a 

Level I trauma center. However, not all 

patients require the services of a Level 

I trauma center; proper triage will 

ensure that patients who are injured less 

severely will be transported to a closer 

emergency department that is capable of 

managing their injuries. 

In an effort to encourage use of 

improved triage procedures, CDC’s 

National Center for Injury Prevention 

and Control (NCIPC) worked with 

experts and partner organizations to 

develop the 2006 Field Triage Decision 

Scheme. In support of the 2006 Field 

Triage Decision Scheme, NCIPC 

developed a multi-media toolkit aimed 

at EMS professionals. The toolkit 

includes A Guide to the Field Triage 

Decision Scheme: The National Trauma 

Triage Protocol, a poster, CD–ROM, and 

pocket card to help EMS providers, 

planners, and administrators effectively 

train others and use the Decision 

Scheme criteria within their own 

systems. 

After the national distribution, NCIPC 

will conduct an online survey of EMS 

professionals who have received a 

toolkit to assess the short-term impact of 

the communication initiative directed at 

EMS professionals about field triage 

procedures. Specifically, the survey will 

assess how many EMS professionals 

who received a copy of the Decision 

Scheme are using it, how EMS 

professionals have used the Decision 

Scheme and accompanying toolkit 

materials, how the materials have been 

used to educate others, what EMS 

professionals learned from the 

materials, and how the Decision Scheme 

changed EMS professional’s triage 

practices. Survey results will be used to 

identify the impact and applicability of 

the Decision Scheme and toolkit 

materials for EMS professionals. 

NCIPC will also conduct focus groups 

with a segment of the survey 

respondents in order to have them 

elaborate on data submitted through the 

survey. These group interviews will 

focus on the extent the Decision Scheme 

is being used, how it is being 

implemented, self-reported changes in 

knowledge, and perceived impact on 

treatment of trauma patients. There are 

no costs to respondents other than their 

time. The data collection will occur over 

two years. The total estimated annual 

burden hours are 412.